Individual
MRS. LISA A SPIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
120 S 675 W, HEBRON, IN 46341-9720
(520) 840-3082
Mailing address
120 S 675 W, HEBRON, IN 46341-9720
(520) 840-3082
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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